Thrombosed saccular aneurysm of a sinus of Valsalva: unusual cause of a mediastinal mass

A 33 year old man presented with a short history of slight fever and chest pain that was worse on inspiration. An electrocardiogram was consistent with pericarditis. Chest radiography, echocardiography, and computed tomography suggested the presence of a mediastinal tumour. At operation the mass was...

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Bibliographic Details
Published in:British Heart Journal 1990-03, Vol.63 (3), p.183-185
Main Authors: Reid, P G, Goudevenos, J A, Hilton, C J
Format: Article
Language:English
Subjects:
Aortic Aneurysm - complications
Aortic Aneurysm - diagnosis
Aortic Aneurysm - pathology
Biological and medical sciences
Cardiology. Vascular system
Child, Preschool
Congenital heart diseases. Malformations of the aorta, pulmonary vessels and vena cava
Diagnosis, Differential
Echocardiography
Electrocardiography
Heart
Humans
Male
Mediastinal Neoplasms - diagnosis
Medical sciences
Radiography, Thoracic
Sinus of Valsalva - diagnostic imaging
Sinus of Valsalva - pathology
Thrombosis - complications
Thrombosis - diagnosis
Thrombosis - pathology
Tomography, X-Ray Computed
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Description
Summary:A 33 year old man presented with a short history of slight fever and chest pain that was worse on inspiration. An electrocardiogram was consistent with pericarditis. Chest radiography, echocardiography, and computed tomography suggested the presence of a mediastinal tumour. At operation the mass was found to be attached to the right sinus of Valsalva and proved to be a large saccular aneurysm full of laminated thrombus.
ISSN:0007-0769
1355-6037
1468-201X
2053-5864
DOI:10.1136/hrt.63.3.183